Healthcare Provider Details

I. General information

NPI: 1851941330
Provider Name (Legal Business Name): ABQ INTEGRATIVE FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 MONTGOMERY BLVD NE STE J
ALBUQUERQUE NM
87109-1425
US

IV. Provider business mailing address

3301R COORS BLVD NW # 292
ALBUQUERQUE NM
87120-1229
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-2300
  • Fax: 833-996-1648
Mailing address:
  • Phone: 970-560-1389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARCUS T HIGI
Title or Position: OWNER
Credential: MD
Phone: 970-560-1389